Provider Demographics
NPI:1518195270
Name:ASHCROFT, SUSY KAY (MA LPCC, LADAC)
Entity Type:Individual
Prefix:MS
First Name:SUSY
Middle Name:KAY
Last Name:ASHCROFT
Suffix:
Gender:F
Credentials:MA LPCC, LADAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 CHEROKEE RD N.W.
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107
Mailing Address - Country:US
Mailing Address - Phone:505-402-4228
Mailing Address - Fax:505-877-0873
Practice Address - Street 1:318 ISLETA BLVD S.W. SUITE 206
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107
Practice Address - Country:US
Practice Address - Phone:505-217-2489
Practice Address - Fax:505-877-0873
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-01
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM101YM0800X, 101YA0400X
NM0065332101YA0400X
NM0071091101YM0800X
NMLPCC#0071091101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)